Navigating the maze of insurance complexities, we are skilled and equipped to conduct extensive audits on payer ERA's and EOB's going back 6 years to assess potential revenue recovery opportunities. Our services are focused on assisting provider clients with Revenue Improvement and Protection, addressing claims processes not in alignment with applicable state and federal mandates.
Understanding that compliance is a two way street, we utilize ERISA and other relevant laws to help hold insurance companies accountable to payer claims processing and handling compliance requirements. We focus on assisting our clients in overturning challenging claim denials to receive the revenue entitled and improve profitability.
Offering On-site education to empower revenue cycle and billing teams with a broad spectrum of relevant laws, valuable resources, advanced denial management strategies and compliant tips proven to create powerful appeals, combat unfair denials and offsets, address invalid audit attempts and compel claims payment.
Denial Management Training and Consulting Services designed to exercise a compliant approach to support our Client's Revenue Improvement and Organizational success
Specialized Multi-level Appeal Services are provided on a contingency basis.
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